Partners: by DOd6Xt70

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									Partners:               Senior Associate Doctor
Dr K Boyd               Dr M Cooper
Dr J Watkins            Associate Doctors
Dr T LeCoyte            Dr V Royston
Dr Knut Schroeder       Dr J O’Riordan
Dr S Bradley            Dr Gayani Herath                                 Braydon Avenue
                        Dr R Johns                                       Little Stoke
                        Dr Suzanne Achurch                               Bristol
Practice Manager:       Mrs Mandy Stewart                                BS34 6BQ
                                                                         Tel: 01454 616767
Website:www.stokesmedical.co.uk                                          Fax: 01454 616189


Practice profile

Summary of key strengths
Our key aims – and strengths – are to provide:
       High quality patient care
       A supportive working and learning environment
       An active in-house educational programme
       Excellent student teaching

Description of premises
The Stokes Medical Centre is situated in Little Stoke on the northern edge of the city,
approximately five minutes from the M4/M5 junction. The practice population lives mainly in
the Little Stoke and Bradley Stoke areas, with a small percentage living in Patchway and
Stoke Gifford. The practice is part of South Gloucestershire PCT.
The area consists of a variety of housing, mostly built within the 1980s and 90s. A high
proportion of the practice population consists of families with young children – only 9.2% are
aged over 65. There are small pockets of deprivation, mostly in the Patchway area.
The practice was founded in the 1930s in North Filton and moved to Little Stoke in the 1950s.
The Practice relocated to its current purpose built premises in 1988. The surgery consists of
eight consulting rooms with four treatment rooms plus admin offices. Expansion of the site is
under consideration. The Practice has been PMS since October 2002.
In addition, we provide private medical services (one session each day Monday to Friday) to
the staff at the Ministry of Defence at Abbey Wood.

Mission and vision statement of the practice

Quality
The Practice has achieved the RCGP Quality Practice Award in 2008 and performs well in the
Quality and Outcomes Framework. All members of the practice team are encouraged to assist
in the delivery of high quality medical care. The practice holds regular meetings and training
sessions with all staff groups to encourage the practice to work together as a team. We aspire
to provide clinical care to the highest standard. Our protocols aim to be evidence based and
are regularly revised and updated, usually by two of the partners in collaboration with other
team members. We provide relevant clinical and administrative information on our intranet in
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easily searchable documents. We also have an electronic ‘locum folder’ which is accessible
from every computer in the practice and holds information such as important telephone
numbers, referral guidance, and how to use the computer system.

Providing a supportive learning environment
The Stokes Medical Centre aims to provide a stimulating and supportive learning
environment. We have an active educational programme with weekly Continuing Professional
Development (CPD) sessions, which include events such as clinical lectures and seminars,
significant event audits, and referral reviews. The educational sessions aim to address the
personal educational needs of clinical staff as identified through learning needs assessments,
but will also be linked to the practice development plan. We hold clinical discussions on a
daily basis and aim to answer any clinical questions that come up during a surgery promptly
via email or the instant messaging system.

Continued professional development
We encourage salaried doctors to develop their personal clinical interests – particularly if they
fit in with the overall strategic plan of the practice. Salaried doctors at the Stokes have a CPD
session once a week and will be invited and encouraged to contribute to audits and protocol
development within protected time. We strongly believe in the principle of lifelong learning
and mutual support, and we are all willing to share knowledge, experience and information.
Partners’ specific interests include, for example women’s health, occupational medicine,
medical politics, clinical diagnosis and evidence based medicine.

Undergraduate and postgraduate teaching
We teach undergraduate students from the University of Bristol in their first four years. One
of the partners is a qualified GP Trainer, with another expected to gain accreditation in the
autumn 2008, and we hope to recruit a GP Registrar or Associate in Training later this year.
All of the partners take part in student teaching, and we will provide ample opportunity for
interested salaried doctors to contribute to the teaching programme in the practice.

List of doctors and staff who work in or with practice
There are currently five partners and five salaried doctors, covering 12000 patients. The
Practice has opted out of Out of Hours (OOH). All staff’s ethnic origin is white British apart
from Dr Gayani Herath (British Asian), Dr Jess O’Riordan (Irish), Martina Sachs and Dr
Knut Schroeder (both German).

GP Principals
Dr Simon Bradley MB MRCGP DCH – Executive Partner (8 sessions)
       Interests: Minor Surgery, Steroid Injections, Dermatology, LMC Chair
Dr Kate Boyd MB BCh DRCOG DCH – Director of Human Resources (8 sessions)
       Interests: Child Health, Occupational Health, Staff Welfare
Dr Tina LeCoyte MB DRCOG MRCGP – Clinical Director (6 ½ sessions)
       Interests: Women’s Health, IUD/IUS coil fits
Dr Knut Schroeder MD MSc PhD DGM DRCOG DCH CMedEd MRCP FRCGP – Clinical
Governance Director (6 ½ sessions). German background.
       Interests: Undergraduate Teaching, Research, RCGP Faculty Board Member,
       Honorary Senior Clinical Lecturer at the University of Bristol
Dr Jane Watkins MB DRCOG MRCGP – Partner (5 sessions)
       Interests: Steroid injections, Minor Surgery, Child Health, and Diabetes Lead

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Dr Imran Hamid MBBS MRCGP – Partner (8 sessions)
       Interests: ENT, Teaching, GP Commissioning
All Partners take an active role in the running of the business and each have a specific area of
responsibility.
The Executive Partner, Clinical Director and Clinical Governance Director work closely with
the Practice Manager and are responsible for formulating and directing the overall strategic
direction of the Practice.

Salaried Doctors
Dr Michelle Cooper MB ChB DCH DFFP MRCGP (5 sessions)
       Interests: Women’s Health, IUD/IUS coil fits, Dermatology (currently on
       maternity leave)
Dr Gayani Herath MBChB MRCGP (8 sessions).
      Interests: Sports and Exercise Medicine, Rheumatology, Women’s Health
Dr Jess O’Riordan MB BS DRCOG (8 Sessions)
        Interests: Sports and Exercise Medicine, Joint Injections
Dr Virginia Royston BSc MBChB DFFP MRCGP DRCOG (3 sessions)
       Interests: Women’s Health, Family Planning
Salaried GPs are encouraged to participate in running of the practice and to attend the regular
practice general business meeting. Salaried GPs have a regular two hour CPD session each
week in addition to our weekly in-house educational activities.

Nurses
The Practice employs seven Practice Nurses, two full time Nursing Assistants, a Phlebotomist
and a Smoking Cessation Coordinator. Nurses hold Minor Illness Clinics every day. Two of
the nurses have recently been awarded a Teaching Certificate.
Jo Nye                           Practice Nurse            Minor Illness Trained
                                                           Teaching Certificate
Tracey Frost                     Practice Nurse Lead       Minor Illness Trained
Sharlene Hodgson                 Practice Nurse            Minor Illness Trained
Jenny Price                      Practice Nurse
Sarah Wynell-Mayow               Practice Nurse            Minor Illness Trained
Martina Sachs                    Nursing Assistant
Allison Coombes                  Nursing Assistant
Sandy Rudge                      Phlebotomist/Nursing Assistant
Denise Wyatt                     Smoking Cessation Coordinator & Phlebotomist
The Practice has consistently developed the nursing team and places a great emphasis on
minor illness training. Most nurses specialise in particular areas, i.e. CHD, Asthma or
Diabetes, and run QOF Clinics. The Nursing Assistants work to protocols and undertake
spirometry and smoking cessation clinics.

Administrative staff
The administration side of the Practice is supported by 16 members of staff, plus a full time
Practice Manager.
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Mandy Stewart                            Practice Manager
Dawn McCaffrey                           Assistant Practice Manager
Carol Adams                              Practice Administrator
Sue Wing                                 Reception Co-ordinator
Kerry Moreton                            Reception Co-ordinator
Donna Wells                              Clinical Admin Assistant
Maureen Stocks                           Secretary
Admin staff x 9
The Practice believes in training all members of staff to a high standard and encourages
innovation and ownership.

The future
The Practice consistently reviews systems to improve the services offered to patients and
helps the Practice deal with the demands on practicing medicine in the 21st Century. We
continuously look at improving ways in which to enhance the working lives of both clinicians
and staff.
The practice wishes to build on the improvements and innovations that have occurred in the
past few years. The Quality and Outcome Framework gives the practice an opportunity to
focus on improving services to patients and looking forward.
We intend to utilise the flexibilities offered by PBC to offer a wider range of services to
patients. Members of the practice team are encouraged to develop skills that will enable us to
develop new services.
The Practice offers a supportive and caring environment and encourages all members of the
team to be participative.
We are also exploring ways of providing health services outside the NHS. As a result of our
experience in working with the MOD, and a small local occupational health contract, we are
currently considering the possibility of a formal occupational medicine service within the
practice. We have also been investigating the option of providing private medical services to
individuals, including minor surgery and health screening, in recognition of the need for
practitioners to diversify clinical activity and income generation.
The practice owns a pharmacy building attached to the practice. It is now several years since
the pharmacy was built, and this has been a success both in terms of an enhanced service for
patients and as an additional income source for the practice. Further development of the site
remains under consideration.

Facts & characteristics of the practice
       PMS
       List size: just over 12000
       High Achieving QOF
       Excellent young partnership team with good working and social relationships
       Efficient – single site, paperless, electronic communication
       Young population, manageable workload

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         Low visiting rate, no nursing homes
         Excellent primary health care team with minor illness nurse practitioners, nurse-led
          chronic disease management
         Providers of medical services to the Ministry of Defence at Abbey Wood (private
          contract)
         RCGP primary care research centre and member of the local Research Consortium

Annual number of consultations
The annual number of consultations and visits in 2007 for doctors was 29,500 (2.41 per
patient) and for practice nurses 17,712 (1.45 per patient), given a total patient number of
12,225 patients. There were 649 home visits by doctors in that period, which translates to 0.05
visits per patient per year.

Prevalence of conditions in the clinical indicators of the QoF

Disease prevalences for this practice 2006/07
Disease area                                         Prevalence           Centile
Coronary heart disease                               2.5%                 19
Asthma                                               6.9%                 82
Cancer                                               0.8%                 37
Chronic obstructive pulmonary disease                1.3%                 43
Diabetes mellitus                                    3.2%                 30
Epilepsy                                             0.5%                 32
Hypertension                                         12.3%                45
Heart Failure                                        0.4%                 11
Mental Health                                        0.4%                 14
Stroke and transient ischaemic attacks               1.3%                 34
Hypothyroidism                                       2.7%                 55
Smoking in chronic disease                           15.1%                37
Dementia                                             0.2%                 25
Depression                                           0.6%                 42
Depression screening population                      5.2%                 20
Chronic Kidney Disease                               3.0%                 73
Atrial Fibrillation                                  0.9%                 25
Obesity                                              4.0%                 8
Learning disabilities                                0.1%                 18
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Disease area                                      Prevalence           Centile
Palliative Care
Source: http://www.gpcontract.co.uk/surgery.php?orgcode=L81019
The Table below shows a graphical display of prevalences of important clinical indicators for
the Stokes Medical Centre in 2007 compared with PCT and national figures.




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